How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $131.83 Typical High $138.04 | Professional | None | $95.50 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $26.30 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $19.50 Typical High $20.89 | Professional | 55 · Aftercare only | $14.45 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $13.18 Typical High $13.80 | Professional | 56 · Pre-op care only | $9.55 | $13.18 | $13.80 |
CareFirst Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $173.78 | Professional | None | $131.83 | $131.83 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $194.98 | Facility | None | $173.78 | $173.78 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | None | $128.82 | $128.82 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $489.78 | Professional | None | $162.18 | $213.80 | $489.78 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $218.78 | Professional | None | $104.71 | $144.54 | $218.78 |
Where Washington, DC sits
The same service costs 2.0 times more in Wisconsin than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington, DC· 39th of 51
$132
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.